How much rates vary
Facilitymedian $263 · 10th to 90th $170 to $646Professionalmedian $141 · 10th to 90th $36 to $234
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $295.12 | Facility | None | $107.15 | $125.89 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $83.18 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $30.90 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $93.33 | $117.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $660.69 | Facility | None | $169.82 | $263.03 | $660.69 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $24.55 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $24.55 | $100.00 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $44.67 | $141.25 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $13.80 | $32.36 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $30.90 | $100.00 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $309.03 | Professional | None | $128.82 | $181.97 | $309.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $123.03 | Professional | 26 · Professional part | $25.70 | $33.88 | $123.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $147.91 | $208.93 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $52.48 | $147.91 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $56.23 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $112.20 | $213.80 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $25.12 | $28.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Where Illinois sits
The same service costs 5.2 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 35th of 51
$141
AK $363IN $69.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.